Pawsitively Transformational Health and Wellness Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PAWSITIVELY TRANSFORMATIONAL HEALTH AND WELLNESS INC

Practice address

715 Dooley St
Alamogordo, NM 88310-8203

Phone

(575) 404-1577

NPI assigned

Nov 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nathaniel L Redekopp, LPCCNPI 1952921223

Title

Ceo

Phone

(575) 208-6364

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Lukas Redekopp, NCC, LPCC

  • Professional Counselor
  • Alamogordo, NM
  • NPI 1952921223
  Medicare reassignment NPD Authorized official
• Jeanette Christine Borunda, LCSW

  • Clinical Social Worker
  • Alamogordo, NM
  • NPI 1821444290
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1316547904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 10TH ST # 400",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DOOLEY ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108203",
            "telephone_number": "575-404-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWSITIVELY TRANSFORMATIONAL HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "REDEKOPP",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-208-6364",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Dawn Patterson, CNP
• Emily Pattillo, PT, DPT
• Robert J Pattillo
• Raquel M Patton, MA, BCBA
• Allan Lewis Paul, MD
• Pay and Save Inc
• Jacob Paz
• PC Mark Race MD PLC
• Brooke Peacock
• Barbara Jo Pearson, MA.ED

• Mental Health Clinic/Center (Including Community Mental Health Center) in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.